Krystal Bittar LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

PY8352 Issued in FL

Legal business name

KRYSTAL BITTAR LLC

Practice address

2622 SW 32ND CT
Miami, FL 33133-2804

Phone

(305) 951-1116

NPI assigned

Jul 3, 2013

Last updated

Jul 3, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Krystal Bittar, PSY.D.NPI 1619248424

Title

President

Phone

(305) 919-8099

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Krystal Bittar, PSY.D

  • Psychologist
  • Miami, FL
  • NPI 1619248424
  Authorized official Same address or phone
• Beryl Lougachi, PSY.D.

  • Psychologist
  • Miami, FL
  • NPI 1114036399
  NPD (past)
• Beatriz Mariela Morales, MSW

  • Behavior Analyst
  • Miami, FL
  • NPI 1922185883
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372809600000",
    "number": "1821438953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2622 SW 32ND CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332804",
            "telephone_number": "305-951-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2622 SW 32ND CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332804",
            "telephone_number": "305-951-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRYSTAL BITTAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-03",
        "last_updated": "2013-07-03",
        "status": "A",
        "authorized_official_last_name": "BITTAR",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-919-8099",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "PY8352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kru PT and Performance Lab, LLC
• Kyle F Krupa, PT, DPT, CSCS
• Vera Krupnov, DMD
• Krypton Medical LLC
• Krystal Bay Inc
• Krystal Medical Services
• Krystle Clear Speech and Language Pathology Services
• Oleksandr N Kryvenko, MD
• Alisha Kshetry
• KSM Behavioral Interventions LLC

• Skilled Nursing Facility in Miami, FL
• Providers in Miami, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.